Organization Active NPI

Neurospine Monitor, PLLC

  • Electrodiagnostic Medicine Physician
  • Battle Creek, MI
National Provider Identifier
1659827095
Registry record updated Aug 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Electrodiagnostic Medicine PhysicianTaxonomy code 204R00000X
Legal business name
NEUROSPINE MONITOR, PLLC
Practice address
14250 Beadle Lake Rd
160
Battle Creek, MI 49014-7200
Phone
(214) 269-3875
Fax
(903) 328-6568
NPI assigned
Aug 26, 2016
Last updated
Aug 26, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Gina Sullivan
Title
Billing Manager
Phone
(214) 269-3875

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Electrodiagnostic Medicine Physician 204R00000X NU Primary

Addresses

Primary practice location

14250 Beadle Lake Rd
160
Battle Creek, MI 49014-7200

Mailing address

14250 Beadle Lake Rd
160
Battle Creek, MI 49014-7200
Phone (214) 269-3875

National Provider Directory

National Provider Directory

Locations

14250 Beadle Lake Rd
Unit 160
Battle Creek, MI 49014
Phone (269) 840-4350

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1472169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472169600000",
    "number": "1659827095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14250 BEADLE LAKE RD",
            "address_2": "160",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490147200",
            "telephone_number": "214-269-3875",
            "fax_number": "903-328-6568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14250 BEADLE LAKE RD",
            "address_2": "160",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490147200",
            "telephone_number": "214-269-3875",
            "fax_number": "903-328-6568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROSPINE MONITOR, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-26",
        "last_updated": "2016-08-26",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "GINA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "214-269-3875"
    },
    "taxonomies": [
        {
            "code": "204R00000X",
            "taxonomy_group": "",
            "desc": "Electrodiagnostic Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Battle Creek, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.